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公开(公告)号:US08211087B2
公开(公告)日:2012-07-03
申请号:US11006496
申请日:2004-12-07
申请人: Matthew P. Carter , Frederick B. Haller , Kenneth C. Kennedy, II , Brian K. Rucker , Stephen E. Deal , Juan Carlos Ayala
发明人: Matthew P. Carter , Frederick B. Haller , Kenneth C. Kennedy, II , Brian K. Rucker , Stephen E. Deal , Juan Carlos Ayala
CPC分类号: A61B1/018 , A61B6/12 , A61B17/221 , A61B2017/2212 , A61F2/95 , A61F2002/041 , A61F2002/9511 , A61M25/0029 , A61M25/0102 , A61M25/0169 , A61M25/0662 , A61M25/10 , A61M2025/0006 , A61M2025/0025 , A61M2025/0059 , A61M2025/0177 , A61M2025/0183 , A61M2025/0681 , A61M2025/09125
摘要: A method and apparatus for releasably securing a wire guide to an elongate medical device for introduction into a work site with the bodily lumen of a patient. An elongate engagement member is configured to engage the wire guide while it is coupled to the elongate medical device and is configured so as to prevent relative movement between the wire guide and the elongate medical device.
摘要翻译: 一种用于将线引导件可释放地固定到细长医疗装置用于引入患者体腔的工作现场的方法和装置。 细长接合构件构造成在线引导件联接到细长医疗装置的同时接合线引导件,并且构造成防止线引导件与细长医疗装置之间的相对运动。
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公开(公告)号:US08206320B2
公开(公告)日:2012-06-26
申请号:US10902625
申请日:2004-07-29
申请人: Stephen E. Deal , Matthew P. Carter , Victor D. Clark, Jr. , Frederick B. Haller , David M. Hardin, Jr. , John A. Karpiel , Kenneth C. Kennedy, II , Brian K. Rucker , Gregory J. Skerven , David F. Waller
发明人: Stephen E. Deal , Matthew P. Carter , Victor D. Clark, Jr. , Frederick B. Haller , David M. Hardin, Jr. , John A. Karpiel , Kenneth C. Kennedy, II , Brian K. Rucker , Gregory J. Skerven , David F. Waller
IPC分类号: A61B6/00
CPC分类号: A61B1/018 , A61B6/12 , A61B17/221 , A61B2017/2212 , A61F2/95 , A61F2002/041 , A61F2002/9511 , A61M25/0029 , A61M25/0662 , A61M25/10 , A61M2025/0183 , A61M2025/0681
摘要: A method and apparatus for introducing a first elongate medical device and short wire guide that are coupled together into a work site and remotely disconnecting them within the work site such that a secondary device comprising a catheter member can be introduced over the wire guide to the work site, and/or a second wire guide can be introduced to the work site via a passageway of the primary access device. A system of indicia, such as radiopaque or viewable markers, permit the operator to monitor the relative alignment of the devices within the work site to determine when uncoupling has occurred. In one example of the method, a wire guide and primary access device (e.g., a sphincterotome) is coupled to the wire guide and introduced via a duodenoscope into the biliary system. After performing a first medical operation, the devices are uncoupled with the wire guide being left within the biliary system such that a secondary access device, such as a balloon, biopsy device, stent delivery catheter, dilator, etc., can be introduced to perform a second medical operation without a traditional over-the-wire exchange being required. In another example of the method, a prosthesis, such as a valve or stent, is placed within the work site coupled to a wire guide which is remotely disconnected within the work site and a secondary device, such as a dilation balloon or second prosthesis, is introduced into the work site after the first delivery system is removed.
摘要翻译: 一种用于引入第一细长医疗装置和短线引导件的方法和装置,所述第一细长医疗装置和短导线引导件联接在一起成为工作现场并在工作现场内远程地断开它们,使得包括导管部件的辅助装置可以被引导到导线器上, 现场和/或第二导线引导件可以经由主接入设备的通道引入到工作现场。 诸如不透射线或可见标记的标记系统允许操作者监视工作现场内的设备的相对对准以确定何时发生解偶联。 在该方法的一个示例中,线导向器和主入口装置(例如括约肌切开机)联接到线导引件并经十二指肠镜引入胆道系统。 在执行第一次医疗操作之后,将装置与线引导件脱离在胆汁系统内,使得可以引入二次进入装置,例如气囊,活检装置,支架输送导管,扩张器等,以执行 不需要传统的线上交换即可进行第二次医疗。 在该方法的另一示例中,诸如阀或支架的假体被放置在工作部位内,该工作部位与工作部位远程断开的线引导件相连,并且辅助装置(例如扩张气囊或第二假体) 在第一个传送系统被删除之后被引入工作现场。
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公开(公告)号:US07731652B2
公开(公告)日:2010-06-08
申请号:US11129009
申请日:2005-05-13
申请人: Vihar C. Surti , Eric Young , Kenneth C. Kennedy, II , Frederick B. Haller , Matthew P. Carter , Antoine Clark , Stephen E. Deal
发明人: Vihar C. Surti , Eric Young , Kenneth C. Kennedy, II , Frederick B. Haller , Matthew P. Carter , Antoine Clark , Stephen E. Deal
CPC分类号: A61B1/00147 , A45F2005/008 , A61B90/53
摘要: A medical device for allowing a physician to unhand a scope or other instruments while maintaining control of the scope or other instruments during a medical procedure. The medical device includes at least one docks and a harness for attaching the dock to the physician's body. The harness can be adjustable, or sized to fit a specific physician. During a procedure, a physician outfitted with the medical device can place a scope and/or other instrument in the dock(s). Once the scope and/or other instrument is placed in the dock(s), the physicians hands are free to perform other procedures, while the physician continually controls the relative position of the scope with respect to the physician or the patient.
摘要翻译: 一种医疗设备,用于允许医生在医疗过程中保持对范围或其他器械的控制,以免手指范围或其他器械。 医疗设备包括至少一个基座和用于将码头附接到医师身体的线束。 线束可以是可调整的或尺寸适合特定的医生。 在手术过程中,配有医疗设备的医生可以将一个或多个放置在其中的仪器放置在基座中。 一旦将示波器和/或其他器械放置在码头中,医生手就可以自由执行其他程序,而医师不断控制范围相对于医师或患者的相对位置。
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公开(公告)号:US07637863B2
公开(公告)日:2009-12-29
申请号:US10903679
申请日:2004-07-29
申请人: Stephen E. Deal , David F. Waller , Kenneth C. Kennedy, II , Brian K. Rucker , David M. Hardin , John A. Karpiel
发明人: Stephen E. Deal , David F. Waller , Kenneth C. Kennedy, II , Brian K. Rucker , David M. Hardin , John A. Karpiel
IPC分类号: A61B1/00
CPC分类号: A61B1/012 , A61M25/00 , A61M25/02 , A61M25/09041 , A61M2025/09125
摘要: A wire guide holder having a body for securing an elongate medical wire or tube, such as a wire guide or catheter. The body is adapted to be attached to a scope or a bite block. The body can be provided with protrusions and/or grooves for holding a wire guide. The wire guide holder may be affixed to the medical scope by clamping. The wire guide holder can also be provided with a seal.
摘要翻译: 线引导器保持器,其具有用于固定细长医疗线或管的主体,例如电线引导件或导管。 身体适合连接到一个范围或咬合块。 主体可以设置有用于保持导线器的突起和/或沟槽。 导线架可以通过夹紧固定在医疗用具上。 电线导向架也可设有密封。
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公开(公告)号:US08591563B2
公开(公告)日:2013-11-26
申请号:US11235016
申请日:2005-09-26
申请人: John A. Karpiel , Kenneth C. Kennedy, II , Matthew P. Carter , Frederick B. Haller , David M. Hardin, Jr. , David F. Waller
发明人: John A. Karpiel , Kenneth C. Kennedy, II , Matthew P. Carter , Frederick B. Haller , David M. Hardin, Jr. , David F. Waller
CPC分类号: A61F2/97 , A61F2/954 , A61F2/962 , A61F2002/065 , A61F2002/9517 , A61M25/0009 , A61M25/0029 , A61M25/0102 , A61M25/0169 , A61M25/0668 , A61M2025/004 , A61M2025/0079 , A61M2025/0183 , A61M2025/09116
摘要: A method and apparatus for uncoupling a wire guide from and elongate medical device comprising a catheter shaft having a wire guide lumen extending there through, wherein the material surrounding the wire guide lumen is selected or adapted to facilitate splittability for removal of the wire guide. The catheter shaft is coextruded and comprises a plurality of materials. The portion of the shaft adjacent the wire guide lumen is formed from a first material and the balance of the shaft is formed from a second material. The first material is selected or adapted to facilitate splittability as compared to the second material. The first material may have a lower durometer than the second material. A peel tool for separating the wire guide from the catheter shaft is also provided.
摘要翻译: 一种用于使导线器从细长医疗装置脱离的细长医疗装置的方法和装置,其包括具有在其中延伸的线引导腔的导管轴,其中围绕导线管内腔的材料被选择或适于促进用于移除导线器的分裂性。 导管轴是共挤出的并且包括多个材料。 轴的邻近线引导腔的部分由第一材料形成,并且轴的平衡部由第二材料形成。 与第二材料相比,选择或调整第一材料以便于分裂性。 第一材料可以具有比第二材料低的硬度。 还提供了用于将导线器与导管轴分离的剥离工具。
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公开(公告)号:US07993411B2
公开(公告)日:2011-08-09
申请号:US12200971
申请日:2008-08-29
CPC分类号: A61L27/34 , A61F2/94 , A61F2002/041 , A61F2250/0056 , A61F2250/0067 , A61L27/50 , A61L31/10 , A61L31/14 , A61L31/18 , A61M25/0045 , A61M27/002 , A61M27/008
摘要: An implantable drainage device for treatment of a stricture of a body vessel is disclosed. The device comprises a drainage tube including an inlet and extending to an outlet to define a drainage lumen formed through the inlet and the outlet. The drainage tube includes a swell layer and a cast layer formed about the swell layer. The swell layer has a first agent dispersed thereabout for regulated drug elution through the cast layer. The cast layer has a second agent disposed thereabout for drug elution therefrom.
摘要翻译: 公开了一种用于治疗身体血管狭窄的可植入排液装置。 该装置包括排水管,其包括入口并延伸到出口以限定通过入口和出口形成的排水腔。 引流管包括溶胀层和围绕溶胀层形成的流延层。 溶胀层具有分散在其中的第一试剂,以通过流延层调节药物洗脱。 流延层具有设置在其周围的用于药物洗脱的第二药剂。
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公开(公告)号:US20090216319A1
公开(公告)日:2009-08-27
申请号:US12200971
申请日:2008-08-29
IPC分类号: A61F2/86
CPC分类号: A61L27/34 , A61F2/94 , A61F2002/041 , A61F2250/0056 , A61F2250/0067 , A61L27/50 , A61L31/10 , A61L31/14 , A61L31/18 , A61M25/0045 , A61M27/002 , A61M27/008
摘要: An implantable drainage device for treatment of a stricture of a body vessel is disclosed. The device comprises a drainage tube including an inlet and extending to an outlet to define a drainage lumen formed through the inlet and the outlet. The drainage tube includes a swell layer and a cast layer formed about the swell layer. The swell layer has a first agent dispersed thereabout for regulated drug elution through the cast layer. The cast layer has a second agent disposed thereabout for drug elution therefrom.
摘要翻译: 公开了一种用于治疗身体血管狭窄的可植入排液装置。 该装置包括排水管,其包括入口并延伸到出口以限定通过入口和出口形成的排水腔。 引流管包括溶胀层和围绕溶胀层形成的流延层。 溶胀层具有分散在其中的第一试剂,以通过流延层调节药物洗脱。 流延层具有设置在其周围的用于药物洗脱的第二药剂。
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公开(公告)号:US09198569B2
公开(公告)日:2015-12-01
申请号:US11605796
申请日:2006-11-29
CPC分类号: A61B1/313 , A61B1/00147 , A61B90/50 , A61B90/53
摘要: A medical device for allowing a physician to unhand a scope or other instruments while maintaining control of the scope or other instruments during a medical procedure. The medical device includes at least one dock and a harness for attaching the dock to the physician's body. The harness can be adjustable, or sized to fit a specific physician. During a procedure, a physician outfitted with the medical device can place a scope and/or other instrument in the dock(s). Once the scope and/or other instrument is placed in the dock(s), the physicians hands are free to perform other procedures, while the physician continually controls the relative position of the scope with respect to the physician or the patient.
摘要翻译: 一种医疗设备,用于允许医生在医疗过程中保持对范围或其他器械的控制,以免手指范围或其他器械。 医疗装置包括至少一个基座和用于将码头附接到医生身体的线束。 线束可以是可调整的或尺寸适合特定的医生。 在手术过程中,配有医疗设备的医生可以将一个或多个放置在其中的仪器放置在基座中。 一旦将示波器和/或其他器械放置在码头中,医生手就可以自由执行其他程序,而医师不断控制范围相对于医师或患者的相对位置。
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公开(公告)号:US07972299B2
公开(公告)日:2011-07-05
申请号:US12168432
申请日:2008-07-07
IPC分类号: A61M29/00
CPC分类号: A61M25/10 , A61M25/0068 , A61M25/0069 , A61M25/007 , A61M25/1025 , A61M25/1027 , A61M25/1034 , A61M2025/1004 , A61M2025/1052 , A61M2025/1061 , A61M2025/1093
摘要: A balloon catheter including an inflatable balloon affixed to a catheter. The proximal end of the balloon is fixedly connected to the distal end of the catheter, and the distal end of the balloon is supported by stiffening member that extends distally from the distal end of the catheter and through the interior of the balloon. The distal end of the catheter comprises one or more apertures that are in fluid communication with an inflation lumen extending through the catheter. A deflation mechanism is disposed about the stiffening member and is configured to facilitate the flow of an inflation fluid through the interior volume of the balloon and towards the aperture.
摘要翻译: 气囊导管,其包括固定在导管上的可膨胀气囊。 球囊的近端固定地连接到导管的远端,并且球囊的远端由从导管的远端向远侧延伸并且穿过气囊内部的加强构件支撑。 导管的远端包括与延伸穿过导管的充气腔流体连通的一个或多个孔。 放气机构围绕加强构件设置,并且构造成便于充气流体流过球囊的内部空间并朝向孔径的流动。
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公开(公告)号:US20090024087A1
公开(公告)日:2009-01-22
申请号:US12168450
申请日:2008-07-07
IPC分类号: A61M25/10
CPC分类号: A61M25/10 , A61M25/1027 , A61M25/1029 , A61M25/1038 , A61M2025/1004 , A61M2025/1047 , A61M2025/1068 , A61M2025/1084 , A61M2025/1093
摘要: A balloon catheter including an inflatable balloon affixed to a catheter. The proximal end of the balloon is affixed to the distal end of the catheter so as to provide an air tight seal there between. A stiffening member extends distally of the distal end of the catheter and forms a slip joint connection with the distal end of the balloon to permit the distal end of the balloon to axially move or translate relative to the distal end of the catheter. The slip joint allows the axial length of balloon to change during inflation or deflation without transferring tensile or compressive forces between the balloon and the catheter. A balloon folding control mechanism is disposed about the portion of the stiffening member traversing the interior of the balloon, and is configured to promote refolding of the balloon into a predetermined and desired folding configuration upon deflation.
摘要翻译: 气囊导管,其包括固定在导管上的可膨胀气囊。 气囊的近端固定在导管的远端,以便在其间提供气密封。 加强构件在导管的远端的远侧延伸并且与气囊的远端形成滑动关节连接,以允许气囊的远端相对于导管的远端轴向移动或平移。 滑动关节允许气囊的轴向长度在充气或放气期间改变,而不会在气囊和导管之间传递拉伸或压缩力。 气球折叠控制机构设置在穿过气球内部的加强构件的部分周围,并且被构造成在放气时促进气囊重折叠成预定和期望的折叠构型。
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